Stroke Strikes in Silence: Bilateral Medial Medullary Infarction in a Patient With Complete Hearing Loss

Bilateral medial medullary infarction (BMMI) is a rare stroke subtype that accounts for less than 1% of acute strokes. Common manifestations of this stroke include quadriparesis, bilateral hypoglossal palsy, bilateral sensory loss, and respiratory failure. We present the case of a 39-year-old male w...

Full description

Saved in:
Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2024-01, Vol.16 (1), p.e52965
Main Authors: Gallegos Koyner, Francisco J, Amador, Fernando, Guevara, Nehemias A, Barrera, Nelson, Chamay, Salomon, Chong, David
Format: Article
Language:English
Subjects:
Cardiac arrhythmia
Ejection fraction
Emergency medical care
Guillain-Barre syndrome
Heart failure
Hyperplasia
Hypertension
Internal Medicine
Medical imaging
Neurology
Ostomy
Pathology
Respiratory failure
Signs
Stroke
Ultrasonic imaging
Veins & arteries
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Bilateral medial medullary infarction (BMMI) is a rare stroke subtype that accounts for less than 1% of acute strokes. Common manifestations of this stroke include quadriparesis, bilateral hypoglossal palsy, bilateral sensory loss, and respiratory failure. We present the case of a 39-year-old male with deafness and mutism who was brought to the emergency department due to acute onset of altered mental status and generalized weakness, further decompensated, and was lately diagnosed with bilateral medial medullary infarction. This case hopes to illustrate a differential diagnosis to be considered and promptly managed when a patient presents with altered mental status and quadriparesis, especially in the acute setting where tissue plasminogen activator (tPA) can still be given.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.52965